Santa's Toy Trot

Sunday, December 14, 2003 @ 1:00 PM, Merrimac, MA

Proceeds to Benefit TOYS FOR TOTS & HOLIDAY HELPERS

First Name: [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]

Last Name: [ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ][ ]

AGE: [ ][ ] SEX: [ ]

Street Address ______________________________________________   

Town:_________________________  State:________   ZIP:__________

Enclosed:  $15.00 [ ] or  $5.00 [ ] and I Will Donate a New, Unopened, Unwrapped Toy [ ]

Event: Road Race [ ] or Walker [ ] or Kid's Elf Run (free) [ ].

In signing this entry, I for myself, my executors, and administrators, release the manager of the race, all sponsors and promoters from any and all liability and damages in case of death or injury received in or any way associated with this race.

SIGNATURE: (GUARDIAN IF UNDER18) _________________________________________ Date:___________

Make checks payable to: Winner's Circle Running Club. Mail To: Santa's Toy Trot, c/o Sharon Yu, 6 Perkins St., Haverill, MA 01832. For more information call Sharon @ (978) 521-9389 or email toytrot@xenia.unh.edu.